Dr. Forney Fleming heads up the Healthcare Management master's program at UT Dallas. He joined the university after decades of working as an orthopedic surgeon. Add to that an MBA and teaching experience, and Fleming's credentials are hard to match. He began his career in 1965 in medical school—the same year Medicare was introduced. He says he and his colleagues at UTD try to share the physician's perspective with their hospital administrator students. Fleming's goal is for the school to have the biggest and best healthcare management program in the nation.

Will Congress Finally Repeal the Sustainable Growth Rate?

In 1997, Congress enacted a cost containment measure known as the Sustained Growth Rate (SGR) formula as a response to rising Medicare costs. Current negotiations in Congress represent the most promising opportunity for its abolition that has existed. Hopefully, a bipartisan effort will determine a solution that will account for the expense of the change. Full Story

The Generation Gap is Coming

The winds of change for our healthcare system are blowing at a gale force. The issues of excessive cost, mediocre quality, and limited access must be addressed, although it is not economically possible to address all three at the same time. Forces for change are coming from multiple areas, including payers, providers, patients and the government. Included in the forces of change are the young physicians who are members of the generational groups known as Generation X and Generation Y. In addition to the changing gender make-up of physicians (one-half of current medical school students are female) the future leaders… Full Story

Complexity of the Affordable Care Act Exchanges

The Affordable Care Act is a massively complex piece of legislation, more than 2,000 pages long. Rules and regulations to implement the ACA are already in the tens of thousands of pages with many more to come. Some of the components of the bill have already been cancelled, modified, or postponed: long-term care insurance, multiple offerings of SHOP insurance in the exchanges in 2014, IRS determination of an individual’s eligibility for subsidies in 2014, and the recently announced postponement of enforcement of the employer mandate until 2015. At the heart of implementation of the ACA lies the healthcare exchange (now… Full Story

Insurance Exchanges: The Clock Has Run Out

In April 2010 the massive 2000+ page Patient Protection and Affordable Care Act was signed into law by President Obama. The act has now celebrated its third birthday and thousands of pages of regulations are beginning to appear to implement its enactment. Many of the key features of the law do not become active until 2014 or later. One of these features is the Insurance Exchange. The insurance exchanges mandated by the ACA are supposed to start receiving applicants by October 1, 2013 and become functional on January 1, 2014. Management of the exchanges can be state run, a joint… Full Story

Insurance Exchanges: The Clock is Ticking

The Insurance Exchanges are coming! As a component of insurance coverage expansion under the ACA, new marketplaces are to be created to offer healthcare insurance for small businesses and individuals. These exchanges are supposed to start accepting applications by October 1, 2013 and have policies in effect on January 1, 2014. States have several options for an exchange creation: a state run exchange, a multi-state exchange, a joint federal-state exchange, or a federal run exchange. At this time, 19 states and DC have opted to create their own exchanges, 7 states have chosen a joint state-federal venture, 13 states (including… Full Story